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Organization

K. VICTORIA MODICA, N.D., PLLC

Active
Parent organization
K. VICTORIA MODICA, N.D., PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
K. VICTORIA MODICA, N.D., PLLC
Authorized official
KATHERINE V. MODICA N.D. (OWNER)
(877) 513-8012
Entity
Organization

Contact information

Practice address
3716 PACIFIC AVE, SUITE H, TACOMA, WA 98418-7836
(877) 513-8012
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 943-4180

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
NT60336456
WA

Other

Enumeration date
06/19/2014
Last updated
06/19/2014
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